Organization
MEDICAL CENTER PHARMACY OF DURANT INC
Active
Other names
ADVANCED CARE MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG W SEAY DPH (PRESIDENT)
(580) 924-7425
Entity
Organization
Contact information
Practice address
908 N ROCKFORD RD, SUITE J, ARDMORE, OK 73401-2241
(580) 223-6417
(580) 223-7376
Mailing address
1026 RADIO RD, DURANT, OK 74701-2991
(580) 924-2626
(580) 924-5171
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
12-S-969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234540E
—
OK
Enumeration date
05/31/2006
Last updated
06/20/2012
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